Bai, Jieyun, Zhou, Zihao, Tang, Yitong, Gan, Jie, Liang, Zhuonan, Fan, Jianan, Mcguire, Lisa B., Clarke, Jillian L., Cai, Weidong, Spurway, Jacaueline, Tang, Yubo, Wang, Shiye, Shen, Wenda, Yu, Wangwang, Li, Yihao, Zhang, Philippe, Jiang, Weili, Li, Yongjie, Nasim, Salem Muhsin Ali Binqahal Al, Abzhanov, Arsen, Saeed, Numan, Yaqub, Mohammad, Xian, Zunhui, Lin, Hongxing, Lan, Libin, Ramesh, Jayroop, Bacher, Valentin, Eid, Mark, Kalabizadeh, Hoda, Rupprecht, Christian, Namburete, Ana I. L., Yeung, Pak-Hei, Wyburd, Madeleine K., Dinsdale, Nicola K., Serikbey, Assanali, Li, Jiankai, Chen, Sung-Liang, Hu, Zicheng, Liu, Nana, Deng, Yian, Hu, Wei, Tan, Cong, Zhang, Wenfeng, Nhi, Mai Tuyet, Koehler, Gregor, Stock, Rapheal, Maier-Hein, Klaus, Elbatel, Marawan, Li, Xiaomeng, Slimani, Saad, Campello, Victor M., Ohene-Botwe, Benard, Khobo, Isaac, Huang, Yuxin, Han, Zhenyan, Hou, Hongying, Qiu, Di, Zheng, Zheng, Luo, Gongning, Ni, Dong, Lu, Yaosheng, Lekadir, Karim, Li, Shuo
Abstract
A substantial proportion (45\%) of maternal deaths, neonatal deaths, and stillbirths occur during the intrapartum phase, with a particularly high burden in low- and middle-income countries. Intrapartum biometry plays a critical role in monitoring labor progression; however, the routine use of ultrasound in resource-limited settings is hindered by a shortage of trained sonographers. To address this challenge, the Intrapartum Ultrasound Grand Challenge (IUGC), co-hosted with MICCAI 2024, was launched. The IUGC introduces a clinically oriented multi-task automatic measurement framework that integrates standard plane classification, fetal head-pubic symphysis segmentation, and biometry, enabling algorithms to exploit complementary task information for more accurate estimation. Furthermore, the challenge releases the largest multi-center intrapartum ultrasound video dataset to date, comprising 774 videos (68,106 frames) collected from three hospitals, providing a robust foundation for model training and evaluation. In this study, we present a comprehensive overview of the challenge design, review the submissions from eight participating teams, and analyze their methods from five perspectives: preprocessing, data augmentation, learning strategy, model architecture, and post-processing. In addition, we perform a systematic analysis of the benchmark results to identify key bottlenecks, explore potential solutions, and highlight open challenges for future research. Although encouraging performance has been achieved, our findings indicate that the field remains at an early stage, and further in-depth investigation is required before large-scale clinical deployment. All benchmark solutions and the complete dataset have been publicly released to facilitate reproducible research and promote continued advances in automatic intrapartum ultrasound biometry.
Chinese Translation
在产程阶段,母亲死亡、婴儿死亡和死胎的发生率相当高,尤其是在低收入和中等收入国家,这一比例高达45%。产程生物测量在监测分娩进程中发挥着关键作用;然而,在资源有限的环境中,超声的常规使用受到训练有素的超声技师短缺的制约。为了解决这一挑战,产程超声大挑战(Intrapartum Ultrasound Grand Challenge, IUGC)与2024年MICCAI共同举办。IUGC推出了一种临床导向的多任务自动测量框架,集成了标准平面分类、胎头-耻骨联合分割和生物测量,使算法能够利用互补任务信息以获得更准确的估计。此外,该挑战发布了迄今为止最大的多中心产程超声视频数据集,包含来自三家医院的774个视频(68,106帧),为模型训练和评估提供了坚实的基础。在本研究中,我们对挑战设计进行了全面概述,回顾了八个参与团队的提交,并从五个方面分析了他们的方法:预处理、数据增强、学习策略、模型架构和后处理。此外,我们对基准结果进行了系统分析,以识别关键瓶颈,探索潜在解决方案,并强调未来研究中的开放挑战。尽管取得了令人鼓舞的性能,但我们的研究结果表明,该领域仍处于早期阶段,需进一步深入研究,才能在大规模临床应用之前做好准备。所有基准解决方案和完整数据集已公开发布,以促进可重复研究并推动自动产程超声生物测量的持续进步。